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LUKE'S EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. 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LUKE'S DES PERES HOSPITAL PART V, SECTION B, LINE 5: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS COLLECTED PRIMARY DATA THROUGH KEY STAKEHOLDER AND COMMUNITY MEMBER SURVEYS, COORDINATED THROUGH A COLLABORATIVE APPROACH BETWEEN ST. LOUIS AREA HOSPITALS AND HEALTH SYSTEMS INCLUDING BJC HEALTHCARE, MERCY, SSM HEALTH, ST. LUKE'S HOSPITAL, AND SHRINERS HOSPITALS FOR CHILDREN. APPENDIX B OF THE ST. LUKE'S DES PERES HOSPITAL CHNA INCLUDES QUESTIONS AND RESPONSES FOR EACH SURVEY.THE STAKEHOLDER SURVEY SOLICITED INPUT FROM PARTNERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS WEB-BASED, EMAILED DIRECTLY TO IDENTIFIED PARTNERS, AND AVAILABLE DURING THE MONTH OF JUNE 2021. RESPONSES FROM 48 PARTNERS IN WEST AND SOUTH ST. LOUIS COUNTY, AND JEFFERSON COUNTY WERE INCLUDED IN THE ST. LUKE'S DES PERES CHNA. COMMUNITY PARTNERS REPRESENTED PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, LOCAL MUNICIPAL GOVERNMENT, EDUCATION, AND FIRE AND POLICE DEPARTMENTS. ORGANIZATIONS REPRESENTED IN STAKEHOLDER SURVEY RESPONSES INCLUDE THE FOLLOWING:AGING AHEADCIRCLE OF CONCERNCITY OF DES PERESCOMTREACREVE COEUR POLICE DEPARTMENTST. LUKE'S DES PERES ADVISORY BOARDEUREKA FIRE PROTECTION DISTRICTEUREKA POLICE DEPARTMENTHANCOCK PLACE SCHOOL DISTRICTJEWISH COMMUNITY CENTERKIRKWOOD FIRE DEPARTMENTLEMAY CHILD AND FAMILY CENTERLINDBERGH SCHOOL DISTRICTMARYVILLE UNIVERSITYNORTHWEST SCHOOL DISTRICTPREVENTEDROCKWOOD SCHOOL DISTRICTSAINT LOUIS COUNSELINGST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTHST. LOUIS COUNTY POLICEST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATIONTHE LINDBERGH SCHOOLS FOUNDATIONTOWN AND COUNTRY POLICE DEPARTMENTTHE COMMUNITY MEMBER SURVEY WAS WEB-BASED AND AVAILABLE TO ALL MEMBERS OF THE ST. LOUIS METROPOLITAN AREA BETWEEN MAY AND JUNE 2021. SURVEY PROMOTIONS INCLUDED A PRESS RELEASE TO LOCAL MEDIA OUTLETS, HOSPITAL NEWS STORIES, SOCIAL MEDIA PROMOTIONS, FLYER DISTRIBUTION THROUGHOUT THE COMMUNITY AT HOSPITAL-SPONSORED ACTIVITIES, AND THROUGH COMMUNITY-BASED PARTNER ORGANIZATIONS INCLUDING THOSE WITH INTERNET AVAILABILITY FOR INDIVIDUALS WITHOUT ACCESS TO INTERNET AT HOME. SURVEY RESPONSES WERE AGGREGATED AT THE ZIP CODE LEVEL TO ALIGN WITH THE UNIQUE CHNA COMMUNITIES OF EACH HOSPITAL. A TOTAL OF 574 RESPONSES WERE COLLECTED FROM THE ST. LUKE'S DES PERES CHNA GEOGRAPHY. ST. LUKE'S DES PERES HOSPITAL PART V, SECTION B, LINE 11: BASED ON ASSESSMENT OF LOCAL HEALTH, SOCIAL, AND DEMOGRAPHIC DATA; COMMUNITY AND STAKEHOLDER SURVEY INPUT; AND IN CONSIDERATION OF REGIONAL STRATEGIES AND HOSPITAL PRIORITIES, THE ST. LUKE'S DES PERES HOSPITAL'S 2022 CHNA EXECUTIVE TEAM PRIORITIZED THE FOLLOWING NEEDS ON WHICH TO FOCUS INITIATIVES THROUGH STRATEGIES IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BETWEEN FY2023 AND FY2025:- WEIGHT MANAGEMENT- ACCESS IN PRIORITY AREAS- SMOKING/RESPIRATORYTHE FOLLOWING ACTIONS WERE IMPLEMENTED IN FY2024 TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2022 CHNA:WEIGHT MANAGEMENT: THE GOAL OF THE WEIGHT MANAGEMENT IMPLEMENTATION PLAN IS TO REDUCE THE PREVALENCE OF AT-RISK, OVERWEIGHT, AND OBESE INDIVIDUALS IN THE COMMUNITY, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE AVAILABILITY OF HEALTHY FOOD AND EXERCISE OPTIONS AND 2) IMPROVE KNOWLEDGE AND AWARENESS ABOUT HEALTHY HABITS, RESOURCES, AND ACCESS. WEIGHT MANAGEMENT INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE:- ESTABLISHED MONTHLY COMMUNITY WALKING GROUP AT ST. LUKE'S WALKING TRAIL TO PROMOTE EXERCISE AND HEALTH EDUCATION- IMPLEMENTED QUARTERLY "LET'S COOK!" FOOD DEMONSTRATIONS ON EACH HOSPITAL CAMPUS AND IN THE COMMUNITY, IN COLLABORATION WITH COMMUNITY PARTNERS, TO ENCOURAGE AND EDUCATE ABOUT HEALTHY FOOD PREPARATION AND EATING - CONTINUED PARTNERSHIP WITH SCHNUCKS MARKETS TO OFFER DIETITIAN-GUIDED SUPERMARKET TOURS TO PROMOTE HEALTHY SHOPPING AND FOOD CHOICES, WITH PLANNED EXPANSION TO ADDITIONAL ZIP CODES IN FY2025ACCESS IN PRIORITY AREAS: THE GOAL OF THE ACCESS IN PRIORITY AREAS IMPLEMENTATION PLAN IS TO IMPROVE ACCESS TO HEALTH SERVICES AND RESOURCES IN EACH PRIORITY AREA, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) IMPROVE KNOWLEDGE OF HEALTH RESOURCES AND NAVIGATION TO ACCESS POINTS OF CARE, 2) IMPROVE COMMUNITY PARTNERSHIPS FOR CONTINUITY AND COORDINATED PATIENT CARE, 3) INCREASE APPROPRIATE SERVICES EXTENDED FROM DES PERES CAMPUS TO PROVIDERS IN EACH PRIORITY AREA, 4) INCREASE INSURANCE ENROLLMENT, AND 5) INCREASE EMPLOYMENT. ACCESS INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE: - PARTNERED WITH ST. LUKE'S RESIDENTS AND CIRCLE OF CONCERN FOOD PANTRY IN VALLEY PARK, MO TO PROVIDE HEALTH EDUCATION, COACHING, AND HEALTH SCREENINGS- DEVELOPED AND DISTRIBUTED CAREER PATHWAYS DOCUMENT IDENTIFYING ENTRY-LEVEL JOB OPTIONS AND BASIC REQUIREMENTS TO HIGH SCHOOL CAREER COUNSELORS AND STUDENTS ENGAGED WITH MULTIPLE CAREER EXPLORATION PROGRAMS THROUGH ST. LUKE'SSMOKING/RESPIRATORY: THE GOAL OF THE SMOKING/RESPIRATORY IMPLEMENTATION PLAN IS TO REDUCE SMOKING DIAGNOSES PER 1,000 IN EACH OF THE ST. LUKE'S DES PERES HOSPITAL COMMUNITY'S ZIP CODES THAT EXCEED THE ST. LOUIS COUNTY BENCHMARK RATE OF 226.76 PER 1,000 POPULATION, WHICH WILL BE ACHIEVED THROUGH STRATEGIES TO 1) INCREASE THE NUMBER OF REFERRALS TO COMMUNITY PARTNER CESSATION RESOURCES, 2) IDENTIFY AND REFER ELIGIBLE PATIENTS TO LOW-DOSE CT LUNG SCREENINGS, AND 3) INCREASE OUTREACH IN THE COMMUNITY FOR IMPROVED ACCESS TO EDUCATION AND CONNECTION TO RESOURCES. SMOKING/RESPIRATORY INITIATIVES IMPLEMENTED IN FY2024 TO ACHIEVE THESE OUTCOMES INCLUDE:- IMPLEMENTED AMERICAN LUNG ASSOCIATION "FREEDOM FROM SMOKING" CESSATION CLASSES IN FOCUSED ZIP CODES- ADDED LOW-DOSE CT LUNG SCREENING ELIGIBILITY AND INFORMATION TO DISCHARGE NOTES OF ANY PATIENT WITH A SMOKING HISTORY- CONTINUED DISTRIBUTION OF LOW-DOSE CT LUNG SCREENING ELIGIBILITY CARDS FOR ELIGIBLE COMMUNITY AND PATIENT INTERACTIONSADDITIONAL HEALTH NEEDS WERE IDENTIFIED THROUGH THE ST. LUKE'S DES PERES CHNA PROCESS, HOWEVER LIMITED RESOURCES NECESSITATE SELECTION OF FOCUS AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE FOLLOWING COMMUNITY NEEDS HAVE BEEN IDENTIFIED BUT WERE NOT PRIORITIZED AS TOP HEALTH NEEDS IN THE ST. LUKE'S DES PERES 2022 CHNA.CANCER: SMOKING CAUSES ABOUT 20% OF ALL CANCERS AND ABOUT 30% OF ALL CANCER DEATHS IN THE UNITED STATES. ABOUT 80% OF LUNG CANCERS, AS WELL AS ABOUT 80% OF ALL LUNG CANCER DEATHS, ARE DUE TO SMOKING. LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BOTH MEN AND WOMEN. ST. LUKE'S DES PERES' FOCUSED PRIORITY ON SMOKING WILL ADDRESS ONE OF THE MAJOR RISK FACTORS FOR CANCER DISEASE AND DEATH. IN ADDITION, ST. LUKE'S DES PERES IS PART OF THE ST. LUKE'S NETWORK OF CARE. ST. LUKE'S HOSPITAL IN CHESTERFIELD, MO OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES, EDUCATIONAL INFORMATION, AND EMOTIONAL SUPPORT FOR THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. HYPERTENSION, HEART DISEASE, DIABETES: HYPERTENSION, HEART DISEASE, AND DIABETES ARE RELATED CONDITIONS OFTEN RESULTING FROM BEING OVERWEIGHT OR OBESE. SELECTING WEIGHT MANAGEMENT AS A PRIORITY HEALTH NEED RECOGNIZES THAT RELATED HEALTH CONDITIONS WILL LIKELY BE ADDRESSED AND IMPACTED THROUGH INITIATIVES FOR OBESITY. ST. LUKE'S DES PERES' FOCUSED PRIORITY ON SMOKING WILL ALSO ADDRESS HYPERTENSION, HEART DISEASE, AND DIABETES SINCE SMOKING TOBACCO DAMAGES THE CARDIOVASCULAR SYSTEM AND INCREASES RISK OF MANY RELATED DISEASES. ARTHRITIS/JOINT DISEASE: ST. LUKE'S DES PERES ORTHOPEDICS AND PHYSICAL THERAPY SERVICE LINES INCLUDE COMPREHENSIVE TREATMENT AND THERAPY OPTIONS FOR INDIVIDUALS WHO SUFFER FROM PAIN, INJURY, AND OTHER MEDICAL PROBLEMS WITH THE GOAL OF RETURNING PATIENTS TO OPTIMAL LEVELS OF PHYSICAL FUNCTION. ORTHOPEDIC CARE AND THERAPY SERVICES ARE SERVICE LINE STRENGTHS AT ST. LUKE'S DES PERES, AND WE PLAN TO CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH CONTINUED GROWTH AND COMMITMENT TO EXCELLENT OUTCOMES.MENTAL HEALTH/SUBSTANCE ABUSE/LIVER DISEASE: MENTAL HEALTH AND SUBSTANCE ABUSE WERE NOT SELECTED AS PRIORITY NEEDS OF FOCUS FOR THE ST. LUKE'S DES PERES CHNA, HOWEVER CURRENT EFFORTS, AND PARTNERSHIPS TO ADDRESS THE ISSUES WILL CONTINUE. ST. LUKE'S DES PERES HOSPITAL PARTNERS WITH METROPOLITAN PUBLIC AND NONPROFIT COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES IN THE COMMUNITY AND WORKS CLOSELY WITH FQHCS WHOSE PROGRAMS MANAGING MENTAL HEALTH DIAGNOSIS AND SUBSTANCE ABUSE ARE VITAL IN ASSISTING ST. LUKE'S DES PERES' UNINSURED AND UNDERINSURED PATIENTS. MEMBERS OF ST. LUKE'S DES PERES STAFF SERVE IN LEADERSHIP ROLES ON LOCAL BOARDS TO ADVISE AND COLLABORATE TO ENSURE VITAL RESOURCES CONTINUE TO BE AVAILABLE FOR OUR PATIENTS AND THE COMMUNITIES WE SERVE. RESOURCE PACKETS ARE PROVIDED TO PATIENTS TO HELP CONNECT THEM WITH COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES, AND CONSENTING PATIENTS ARE MET AT BEDSIDE AND HELPED BY REPRESENTATIVES WHO HELP TO ARRANGE SERVICES POST DISCHARGE. CONTINUATION OF COLLABORATIVE RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS WHO PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IS VITAL FOR ST. LUKE'S DES PERES HOSPITAL TO MEET THE MENTAL HEALTH NEEDS OF ITS PATIENTS. BECAUSE LIVER DISEASE IS COMMONLY ALCOHOL-INDUCED, ADDRESSING SUBSTANCE ABUSE EFFORTS AS EXPLAINED SHOULD HELP TO IMPACT LIVER DISEASE IN THE COMMUNITY. PART I, LINE 6A: N/A - ISSUED THROUGH MISSOURI HOSPITAL ASSOCIATIONPART I, LINE 7GN/A PART I, LN 7 COL(F): TOTAL COMMUNITY BENEFIT EXPENSE COLUMN (C) AS A PERCENT OF TOTAL EXPENSELINE 7A: CHARITY CARE, 1.62%LINE 7B: UNREIMBURSED MEDICAID, 2.78 %LINE 7D: TOTAL CHARITY CARE AND GOVT. PROGRAMS, 4.40 %LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES, 0.27 %LINE 7F: HEALTH PROFESSIONS EDUCATION, 1.59 %LINE 7I: CASH AND IN-KIND CONTRIBUTIONS, 0.03 %LINE 7J: TOTAL OTHER BENEFITS, 1.89 %LINE 7K: TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, 6.29 %BAD DEBT EXPENSE SUBTRACTED FROM LINE 7, COLUMN (F): N/A-BAD DEBT IS AN IMPLICIT PRICE CONCESSION AND A REDUCTION OF PATIENT REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S DES PERES HOSPITAL EMPLOYEES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING PARTNERSHIPS AND ACTIVITIES TO SUPPORT AND IMPROVE THE HEALTH AND SAFETY OF INDIVIDUALS LIVING IN OUR SURROUNDING COMMUNITY. ACTIVITIES REPORTED IN PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE: COMMUNITY SUPPORT: ST. LUKE'S LEADERSHIP AND STAFF ARE INVOLVED ON LOCAL NONPROFIT BOARDS AND COMMITTEES INTENDED TO ADVANCE COMMUNITY HEALTH, INCLUDING ST. LOUIS COMMUNITY COLLEGE RADIOLOGY TECHNOLOGY ADVISORY COUNCIL AND THE EPISCOPAL PRESBYTERIAN HEALTH TRUST, WHICH ALLOCATES FUNDS TO BENEFIT THE HEALTH OF VULNERABLE POPULATIONS IN THE CITY OF ST. LOUIS.ADDITIONALLY, ST. LUKE'S DES PERES COORDINATES VOCATIONAL SKILLS PROGRAMS TO SUPPORT DISABLED STUDENTS FROM THE COMMUNITY AND PROVIDE THEM WITH ON-THE-JOB TRAINING AND EXPERIENCE TO SUPPORT THEM ON THEIR PATH TO EMPLOYMENT.COALITION BUILDING: ST. LUKE'S LEADERSHIP AND STAFF PARTICIPATE IN VARIOUS COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE THE HEALTH AND SAFETY OF OUR COMMUNITY, INCLUDING CITY OF CHESTERFIELD COMMUNITY CENTER AND ALLIANCE FOR HEALTHY COMMUNITIES.DISASTER READINESS: ST. LUKE'S STAFF PARTICIPATE IN REGIONAL DISASTER PREPAREDNESS COLLABORATIVES AND ENGAGES BEYOND WHAT IS REQUIRED OF ALL ORGANIZATIONS, INCLUDING INVOLVEMENT WITH THE FEDERAL DISASTER MEDICAL ASSISTANCE TEAM, INTERSTATE DISASTER MEDICAL COLLABORATION, ST. LOUIS AREA REGIONAL RESPONSE SYSTEM, AND ST. LOUIS MEDICAL OPERATIONS CENTER. PART III, LINE 2: COSTING METHODOLOGYCOST TO CHARGE RATIO PART III, LINE 3: BAD DEBT EXPENSEST. LUKE'S DES PERES CONSIDERS THIS PORTION OF BAD DEBT EXPENSE A COMMUNITY BENEFIT AS IT IS THE ADDITIONAL COST OF PROVIDING FINANCIAL ASSISTANCE TO THE COMMUNITY. PART III, LINE 4: NOTE 3 - PATIENT SERVICE REVENUE AND OTHER OPERATING REVENUE (ST. LUKE'S HEALTH CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS) - "ST. LUKE'S DETERMINES THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES AND JUDGMENT, BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT AND IMPLICIT PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS IN ACCORDANCE WITH ST. LUKE'S POLICY, AND IMPLICIT PRICE CONCESSIONS BASED ON THE HISTORICAL COLLECTION EXPERIENCE OF PATIENT ACCOUNTS. ST. LUKE'S DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE WITH MEDICARE, MEDICAID, MANAGED CARE PROGRAMS, AND OTHER THIRD-PARTY PAYORS BASED ON REIMBURSEMENT TERMS PER CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. PAYMENT ARRANGEMENTS WITH THOSE PAYORS INCLUDE PROSPECTIVELY DETERMINED RATES PER ADMISSION OR VISIT, REIMBURSED COSTS, DISCOUNTED CHARGES, PER DIEM RATES AND VALUE-BASED PAYMENTS. REPORTED COSTS AND/OR SERVICES PROVIDED UNDER CERTAIN OF THESE ARRANGEMENTS ARE SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS) ARE RECORDED DURING THE PERIOD THE HEALTH CARE SERVICES ARE PROVIDED AND ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. ESTIMATES OF CONTRACTUAL ALLOWANCES UNDER MANAGED CARE HEALTH PLANS ARE BASED UPON THE SERVICES PROVIDED HISTORICAL PAYMENT RATES, AND THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS HAVE DISCOUNTS APPLIED IN ACCORDANCE WITH ST. LUKE'S POLICY." PART III, LINE 8: PROVISION OF CARE TO MEDICARE BENEFICIARIES MEETS A NEED IN THE COMMUNITY AND ANY SHORTFALL IS CONSIDERED TO BE A COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS - COST TO CHARGE RATIOS / MEDICARE COST REPORT. PART III, LINE 9B: COLLECTION POLICY REGARDING PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE - ST. LUKE'S DES PERES HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM ST. LUKE'S DES PERES HOSPITAL, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH ST. LUKE'S DES PERES HOSPITAL. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS, ST. LUKE'S DES PERES HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT IMPOSE WAGE GARNISHMENTS OR FORCE A FORECLOSURE ON PRIMARY RESIDENCES, WILL NOT IMPOSE ACTIONS THAT FORCE BANKRUPTCY AND WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES. UNPAID BALANCES WILL NOT BE REPORTED TO THE CREDIT BUREAU UNTIL AT LEAST 6 MONTHS FROM PLACEMENT DATE AND ONLY IF PATIENTS ARE NOT COOPERATING WITH PAYING THEIR BALANCE.ST. LUKE'S DES PERES HOSPITAL ADHERES TO THE LAWS OF THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND PATIENTS ARE TREATED WITH DIGNITY, RESPECT AND IN LINE WITH OUR MISSION AND VALUES. PART VI, LINE 2: NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A FORMAL CHNA EVERY THREE YEARS, ST. LUKE'S DES PERES CONTINUOUSLY MONITORS THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THROUGH VARIOUS APPROACHES, MOST DIRECTLY THROUGH THE ST. LUKE'S COMMUNITY BENEFIT PROGRAM AND DEDICATED COMMUNITY BENEFIT STAFF. THE ST. LUKE'S COMMUNITY BENEFIT COORDINATOR PARTICIPATES IN COMMUNITY COLLABORATIONS AND COALITIONS INCLUDING ONGOING REGIONAL HOSPITAL COMMUNITY HEALTH COLLABORATION WITH OTHER LOCAL HOSPITAL SYSTEMS TO INTENTIONALLY ADDRESS OUTSTANDING REGIONAL NEEDS EFFICIENTLY AND EFFECTIVELY. ADDITIONAL COMMUNITY ASSESSMENT IS ACHIEVED THROUGH INVOLVEMENT IN THE LOCAL HEALTH DEPARTMENT HEALTH ASSESSMENT PROCESS; PARTICIPATION ON THE COMMISSION ON CANCER STEERING COMMITTEE AND ANNUAL DEVELOPMENT OF FOCUSED EFFORTS TO ADDRESS OUTSTANDING SCREENING AND PREVENTION NEEDS; ADVISING ON MISSOURI HOSPITAL ASSOCIATION COMMUNITY HEALTH INITIATIVES INTENDED TO BETTER ASSIST STATE HOSPITALS TO ADDRESS HEALTH EQUITY; COLLABORATION WITH PARTNERS THROUGH THE ALLIANCE FOR HEALTHY COMMUNITIES COALITION TO ADDRESS SUBSTANCE ABUSE AND MISUSE; AND ONGOING MARKET ASSESSMENT AND RESEARCH THROUGH LOCAL CURRENT EVENTS, COMPETITOR ACTIVITY, AND LITERATURE REVIEW. ADDITIONALLY, HOSPITAL LEADERSHIP AND MEMBERS OF THE MANAGEMENT TEAM SERVE ON COMMUNITY BOARDS AND PARTNER WITH COMMUNITY ORGANIZATIONS. COMMUNITY OUTREACH STAFF SERVE MEMBERS OF THE COMMUNITY THROUGH A VARIETY OF SCREENINGS, EDUCATION, AND HEALTH COACHING EVENTS, WHICH PROVIDE ADDITIONAL ASSESSMENT OF THE OUTSTANDING HEALTH NEEDS THAT ARE IMPORTANT TO OUR COMMUNITY. CARE MANAGEMENT STAFF INTERACTIONS WITH PATIENTS PROVIDE ONGOING MONITORING AND SERVE AS IMPORTANT INPUT FOR ADDRESSING PATIENT NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE INFORMED ABOUT ST. LUKE'S DES PERES FINANCIAL ASSISTANCE AND THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS IN A NUMBER OF WAYS:-FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE AVAILABLE TO PATIENTS DURING THEIR STAY.-PATIENT FINANCIAL SERVICES ATTEMPTS TO CONTACT SCHEDULED PATIENTS PRIOR TO SERVICES TO PROVIDE PATIENTS WITH THEIR EXPECTED AMOUNTS DUE AND DISCUSS PAYMENT / DISCOUNT OPTIONS.-DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES.-INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE, OUR BILLING STATEMENTS, AS WELL AS OUR REGISTRATION BOOKLETS/BROCHURES AND SIGNAGE IN ALL REGISTRATION AREAS.-APPLICATIONS ARE AVAILABLE FREE OF CHARGE BY MAIL OR PHONE AND CAN BE OBTAINED ON OUR WEBSITE.-FINANCIAL COUNSELORS SCREEN PATIENTS FOR MEDICAID ELIGIBILITY TO ASSIST WITH ENROLLMENT IN THE STATE MEDICAID PROGRAM.-CERTIFIED APPLICATION COUNSELORS ARE AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY TO ASSIST THEM WITH ENROLLING IN AN INSURANCE PLAN ON THE MARKETPLACE.-PATIENTS ARE OFFERED A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 4: COMMUNITY INFORMATIONTHE DEFINITION OF ST. LUKE'S DES PERES' CHNA COMMUNITY WAS DEVELOPED FROM ZIP CODE EVALUATION OF CONCENTRATED HOSPITAL INPATIENT VOLUME AND MARKET SHARE TO UNDERSTAND IN WHICH ZIP CODES THE MAJORITY OF PATIENTS RELY ON ST. LUKE'S DES PERES FOR SERVICES. TO ENSURE INCLUSION OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WHO LIVE IN OR NEAR THE GEOGRAPHIC AREA FROM WHICH ST. LUKE'S DES PERES DRAWS PATIENTS, THE COMMUNITY EVALUATION INCLUDED ZIP-CODE LEVEL VULNERABILITIES IN ADDITION TO VOLUME AND MARKET-SHARE. TO ACCOMPLISH THIS, THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) HIGHLIGHTED AREAS IN OUR COMMUNITY WITH GREATER NEEDS AND DISPARITIES THAT MAY LEAD TO POOR HEALTH OUTCOMES. THE AREAS OF HIGH NEED ON THE PERIPHERY OF THE GEOGRAPHIC AREA OF CONCENTRATED VOLUME AND MARKET SHARE WERE INCLUDED IN THE DEFINITION OF ST. LUKE'S DES PERES COMMUNITY. THE RESULTING ST. LUKE'S CHNA COMMUNITY DEFINITION OF 16 ZIP CODES WAS APPROVED BY THE ST. LUKE'S DES PERES HOSPITAL CHNA STEERING COMMITTEE. REFINING THE ST. LUKE'S DES PERES CHNA GEOGRAPHIC AREA BASED ON ZIP CODE-LEVEL VOLUME, MARKET SHARE, AND COMMUNITY NEED ALLOWS FOR A MORE FOCUSED ASSESSMENT OF OUTSTANDING NEEDS AND FOR MORE OPPORTUNITY TO MAKE AN IMPACT IN AREAS MOST SIGNIFICANT TO OUR ORGANIZATION.AS A COMBINED GEOGRAPHY, THE ST. LUKE'S DES PERES COMMUNITY REPRESENTS AN OLDER, WELL-EDUCATED POPULATION WITH HIGHER INCOME IN ZIP CODES CLOSER TO ST. LOUIS COUNTY, BUT A YOUNGER, LESS-EDUCATED POPULATION WITH LOWER INCOME IN ZIP CODES CLOSER TO JEFFERSON COUNTY. THE AGE 65+ AGE GROUP IS GROWING AT 1.34% ANNUALLY COMPARED TO 0.08% POPULATION GROWTH FOR THE ENTIRE POPULATION. THE ST. LUKE'S DES PERES COMMUNITY IS MUCH LESS RACIALLY DIVERSE THAN THE BENCHMARK SURROUNDING GEOGRAPHY OF ST. LOUIS COUNTY, WITH 30% MORE WHITES AND 20% FEWER BLACK PEOPLE.GREAT VARIANCE OF DEMOGRAPHIC, SOCIAL, AND HEALTH INDICATORS BETWEEN ZIP CODES IN THE ST. LUKE'S DES PERES COMMUNITY INDICATES A DISPARATE REGION WITH MUCH OPPORTUNITY FOR IMPROVEMENT. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHADDITIONAL COMMUNITY SUPPORT INCLUDES:ST. LUKE'S DES PERES HOSPITAL IS GOVERNED BY THE ST. LUKE'S HOSPITAL BOARD OF DIRECTORS, WHICH IS REPRESENTATIVE OF A MAJORITY OF VOLUNTEER COMMUNITY MEMBERS WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF ST. LUKE'S, BUT ARE COMMUNITY LEADERS WHOSE PRIMARY INTEREST IN BOARD INVOLVEMENT IS TO ENSURE THE HEALTH OF OUR REGION. ST. LUKE'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY BASED ON ORGANIZATIONAL AND COMMUNITY NEED. ALL SURPLUS FUNDS OF THE ORGANIZATION ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE THROUGH A SYSTEMATIC CAPITAL APPROVAL AND ALLOCATION PROCESS TO ENSURE COMMUNITY AND ORGANIZATION NEEDS ARE PRIORITIZED AND ADDRESSED.TO FURTHER PROMOTE THE HEALTH OF OUR COMMUNITY, ST. LUKE'S DES PERES HOSPITAL ENGAGES IN THE FOLLOWING ONGOING INITIATIVES TO INCREASE ACCESS TO HEALTH CARE SERVICES, IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO EDUCATE COMMUNITY MEMBERS ON MEDICAL AND HEALTH TOPICS: - COMMUNITY EDUCATION FOCUSED ON PREVENTION AND HEALTH BEHAVIOR MODIFICATION THROUGH IN-PERSON AND VIRTUAL CLASSES, PRINT INFORMATION AND NEWSLETTERS, RADIO AND TV APPEARANCES, ONLINE APPLICATIONS AND RESOURCES, AND INDIVIDUAL HEALTH COACHING.- COMMUNITY-BASED CLINICAL SERVICES THAT DO NOT GENERATE A PATIENT BILL INCLUDING BLOOD DRIVES, VACCINATION CLINICS, BIOMETRIC SCREENINGS, COLORECTAL CANCER SCREENINGS, AND MAMMOGRAMS.- HEALTH CARE SUPPORT SERVICES TO EXTEND ACCESS AND CONNECT ANY COMMUNITY MEMBER WITH SERVICES INCLUDING FINANCIAL RESOURCES IN THE COMMUNITY, MEDICATION ASSISTANCE, TRANSPORTATION ASSISTANCE, AND FACILITATING CONNECTIONS WITH COMMUNITY-BASED ORGANIZATIONS AND RESOURCES.- HEALTH PROFESSIONS EDUCATION TO ADVANCE KNOWLEDGE OF MEDICAL PROFESSIONALS AND STUDENTS, INCLUDING GRADUATE MEDICAL EDUCATION.- CASH DONATIONS TO NONPROFIT ORGANIZATIONS WITH COMMUNITY BENEFIT INTENT AND IN-KIND DONATIONS INCLUDING ONSITE USE OF MEETING SPACE FREE OF CHARGE TO LOCAL NONPROFITS. IN ADDITION, ST. LUKE'S EXTENDS ITS PASSPORT TO WELLNESS WORKSITE WELLNESS PROGRAM THROUGHOUT THE COMMUNITY TO PROACTIVELY ADDRESS HEALTH NEEDS AND PROMOTE HEALTHY LIVING THROUGH EDUCATION AND HEALTH SCREENINGS AMONG EMPLOYEES OF AREA ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMN/A PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTN/A - VOLUNTARY PARTICIPATION IN AN ANNUAL COMMUNITY INVESTMENT SURVEY THROUGH THE MISSOURI HOSPITAL ASSOCIATION (MHA). X X X X X X 1 1 0 0 1 0 0 0 0 ANDREW BAGNALL PRESIDENT & CEO 0 766812 0 200000 0 0 0 10725 0 25139 0 1002676 0 0 SHANE M CERONE FORMER PRESIDENT & CEO 0 0 0 0 0 764423 0 0 0 0 0 764423 0 0 MARTHA FLEISCHMANN SR VP & CFO THRU 6/30/24 0 463346 0 59251 0 17308 0 30525 0 8436 0 578866 0 0 DIANE RAY SR VP/NTWK CNO/SLH COO THRU 6/30/24 0 421244 0 51449 0 0 0 37125 0 14641 0 524459 0 0 ALAN MARTIN PHYSICIAN MEDICAL DIRECTOR - ER 357455 0 10000 0 0 0 17325 0 24671 0 409451 0 0 0 MICHAEL RUSH HOUSE PHYSICIAN ER 292240 0 5000 0 0 0 11459 0 24671 0 333370 0 0 0 GUY FELDER HOUSE PHYSICIAN ER 269764 0 2500 0 0 0 6933 0 5342 0 284539 0 0 0 DAVID LOVING FORMER PRESIDENT 0 45379 0 0 0 214312 0 0 0 16183 0 275874 0 0 ROBERT HIBBARD HOUSE PHYSICIAN ER 254626 0 2500 0 0 0 9642 0 0 0 266768 0 0 0 MARY ANN HAMPTON CHIEF NURSING OFFICER 225363 0 12969 0 0 0 10205 0 8129 0 256666 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2023: SHANE CERONE, $764,423; DAVID LOVING, $ 182,253. CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. NO INDIVIDUALS LISTED IN PART VII RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2023. PART I, LINE 5 THE FILING ORGANIZATION IS A MEMBER OF A REGIONAL HEALTHCARE SYSTEM CONTROLLED BY ST. LUKE'S HEALTH CORPORATION. THE EXECUTIVE INCENTIVE COMPENSATION PLAN RECOGNIZES AND REINFORCES THE HOSPITAL'S STRATEGIC BALANCED SCORECARD OBJECTIVE. THE INCENTIVE COMPENSATION PLAN IS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING CERTAIN GOALS AND OBJECTIVES EACH YEAR. THE OBJECTIVES ARE BUILT AROUND FOUR PERSPECTIVES, INCLUDING: 1. QUALITY & PATIENT SATISFACTION 2. FINANCIAL PERFORMANCE 3. EXECUTIVE INDIVIDUAL GOALS 4. EXECUTIVE'S INTERNAL BUSINESS (DIVISION) GOALS THE INCENTIVE PAY IS BASED ON MEASURABLE RESULTS AGAINST PRE-DETERMINED GOALS FOR THE OFFICERS, VICE PRESIDENTS AND DEPARTMENT DIRECTORS OF THE HOSPITAL. FORM 990, PART III, LINE 1: DESCRIPTION OF ORGANIZATION MISSION OUR MISSION WE ARE DEDICATED TO PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME. OUR VISION ST. LUKE'S WILL BE AN INTEGRATED, NATIONALLY RECOGNIZED, AWARD-WINNING HEALTH SYSTEM. LIVING OUR MISSION ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S) ORGANIZED ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL (ST. LUKE'S DES PERES) IN ORDER TO BETTER ADDRESS THE MEDICAL NEEDS OF THE GENERAL PUBLIC IN THE GREATER ST. LOUIS METROPOLITAN AREA AND ITS SURROUNDING REGIONS. IN SUPPORT OF OUR MISSION, ST. LUKE'S DES PERES HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHICH INCLUDES THOSE WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. IN ADDITION, THE ORGANIZATION PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE RELATED COSTS FOR THE SERVICES PROVIDED TO THE RECIPIENTS. ST. LUKE'S DES PERES HOSPITAL SUPPORTS MISSION OUTREACH ACTIVITIES THROUGH ST. LUKE'S MISSION OUTREACH COMMITTEE. ST. LUKE'S MISSION OUTREACH COMMITTEE, COMPRISED OF TEAM MEMBERS ACROSS THE ORGANIZATION, COORDINATES OUTREACH EFFORTS THROUGHOUT THE YEAR. TEAM MEMBERS, PATIENTS AND PHYSICIANS GENEROUSLY SUPPORT INITIATIVES SUCH AS WINTER CLOTHING DRIVES, HEALTH SCREENINGS, FOOD DRIVES, TOY DRIVES, AND SCHOOL SUPPLY DRIVES TO ASSIST THE FAMILIES OF THE ST. LUKE'S PEDIATRIC CARE CENTER, ISAIAH 58 MINISTRIES, LITTLE PATRIOTS EMBRACED, AND OPERATION FOOD SEARCH. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: AT ST. LUKE'S DES PERES HOSPITAL, WE'RE DEDICATED TO ONE THING: OUR PATIENTS LIVING A HEALTHY, HAPPY LIFE. SINCE 1974 AND NOW AS PART OF THE ST. LUKE'S HEALTH SYSTEM, WE ARE PROUD TO SERVE OUR COMMUNITY'S HEALTH CARE NEEDS WITH COMPASSION AND A PERSONALIZED APPROACH. MEDICALLY NECESSARY HEALTH SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. WE PROVIDE CARING TREATMENT IN A 143-BED ACUTE CARE HOSPITAL WITH HEALTH SYSTEM ACCESS TO HIGHER LEVEL SERVICES IF NEEDED. FROM PRIMARY CARE TO EMERGENCY CARE, WITH GENERAL MEDICAL AND SPECIALTY SURGICAL SERVICES, SPECIALIZING IN BARIATRIC, ORTHOPEDICS AND HEART CARE. OTHER SERVICES INCLUDE RADIOLOGY, ENDOSCOPY, LABORATORY, GASTROENTEROLOGY, ENT/OTOLARYNGOLOGY, FOOT CARE, NUTRITION COUNSELING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, UROLOGY, AND VASCULAR CARE. AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ST. LUKE'S DES PERES PARTICIPATED WITH OTHER NONPROFIT HOSPITALS IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2021-2022 TO EVALUATE THE COMMUNITY NEEDS AND ENSURE THAT WE ARE OFFERING SERVICES TO MEET THESE NEEDS. WITH THIS INFORMATION, ST. LUKE'S DES PERES DEVELOPED AN IMPLEMENTATION PLAN WITH WAYS TO ENHANCE OUR EDUCATION AND PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY, SPECIFICALLY IN THE AREAS OF OBESITY, SMOKING/RESPIRATORY HEALTH AND ACCESS TO CARE. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON THE ST. LUKE'S WEBSITE AT HTTPS://WWW.STLUKES-STL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT ST. LUKE'S DES PERES HOSPITAL PROVIDES SPIRITUAL CARE SERVICES AROUND THE CLOCK, SEVEN DAYS A WEEK THROUGH THE ST. LUKE'S SPIRITUAL CARE DEPARTMENT. CHAPLAINS ARE AVAILABLE TO PROVIDE SPIRITUAL CARE TO PATIENTS, FAMILIES, VISITORS, AND TEAM MEMBERS OF ALL FAITHS. ST. LUKES' CHAPLAINS APPROACH EVERYONE WITH SPIRITUAL AND CULTURAL HUMILITY. THEY ARE ALSO ACQUAINTED WITH VARIOUS RELIGIOUS RESOURCES IN THE COMMUNITY TO MEET ANY SPECIFIC NEEDS A PERSON MIGHT HAVE. THE DEPARTMENT ALSO HOLDS REGULAR WORSHIP SERVICES, INCLUDING EPISCOPAL AND PRESBYTERIAN EUCHARIST SERVICES, ROMAN CATHOLIC MASS, ECUMENICAL WORSHIP SERVICES, MORNING AND EVENING PRAYER SERVICES AND OTHER LITURGICAL SERVICES ON SPECIAL FEAST DAYS. ST. LUKE'S DES PERES HOSPITAL HAS A PROUD HERITAGE OF GRADUATE MEDICAL EDUCATION. SINCE 1954 WE HAVE PROVIDED SERVICE TO THE COMMUNITY BY PREPARING NEW PHYSICIANS WITH QUALITY OSTEOPATHIC MEDICAL EDUCATION. OUR FAMILY MEDICINE RESIDENCY PROGRAM HAS BEEN ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION SINCE 2019. IT PROVIDES GRADUATE MEDICAL TRAINING FOR 12 RESIDENTS WHO GAIN EXPERIENCE THROUGH A NUMBER OF DAILY, WEEKLY AND MONTHLY DIDACTIC EXPERIENCES INCLUDING JOURNAL CLUB, READING CLUB, GRAND ROUNDS, BOARD REVIEW, STFM CORE CURRICULUM, CONFERENCES AND RESEARCH METHODOLOGY. PROGRAM LEADERSHIP AND CORE FACULTY EDUCATION ARE PROVIDED BY ST. LUKE'S MEDICAL GROUP PHYSICIANS AT THE PRIMARY CARE OF CEDAR HILL PRACTICE, AND OTHER REQUIREMENTS ARE ADDRESSED THROUGH CLINICAL ROTATIONS WITH SPECIALISTS THROUGHOUT THE ST. LUKE'S HEALTH SYSTEM. ST. LUKE'S DES PERES HOSPITAL SERVES THE COMMUNITY BY HOSTING MULTIPLE BLOOD DRIVES THROUGHOUT THE YEAR. WORKING WITH ST. LUKE'S COMMUNITY OUTREACH, ST. LUKE'S DES PERES HOSPITAL PROVIDES COMMUNITY HEALTH SCREENINGS, PROGRAMS AND CLASSES DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHCARE TOPICS. ST. LUKE'S DES PERES HOSPITAL EARNED THE 2023 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY AND ORTHOPEDICS. IN 2024, IT EARNED THE WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR EMERGENCY CARE AND ORTHOPEDICS. WOMENCERTIFIED INC., AN ADVOCATE FOR FEMALE CONSUMERS, CREATED THE NATIONAL WOMEN'S CHOICE AWARD PROGRAM. THESE ACHIEVEMENTS ARE A TESTAMENT TO THE DEDICATION OF ST. LUKE'S DES PERES' PHYSICIANS AND TEAM MEMBERS WHO PROVIDE QUALITY, COMPASSIONATE CARE TO OUR PATIENTS EVERY DAY. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM OFFERS SEVERAL PROCEDURE OPTIONS, PRE-SURGERY EDUCATION, POST-SURGERY CLASSES AND SUPPORT GROUPS AND PERSONAL NUTRITION AND LIFESTYLE COUNSELING AND SUPPORT. OUR BOARD-CERTIFIED PHYSICIANS WILL TAILOR A SOLUTION TO HELP EACH PATIENT REACH A HEALTHIER WEIGHT AND OUR TEAM OF NURSES, DIETITIANS AND COUNSELORS WILL TEACH LIFESTYLE CHANGES TO SUPPORT A LONGER, HEALTHIER AND MORE ACTIVE LIFE. THE MYNEWSELF SURGICAL WEIGHT LOSS PROGRAM RECEIVED RENEWED ACCREDITATION THROUGH 2025 FROM THE AMERICAN COLLEGE OF SURGEONS AND IS DESIGNATED AS A COMPREHENSIVE CENTER UNDER THE ORGANIZATION'S METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). ST. LUKE'S DES PERES HOSPITAL HAS RECEIVED SEVERAL DESIGNATIONS FOR CLINICAL QUALITY FOR BARIATRIC SURGERY INCLUDING AETNA INSTITUTE OF QUALITY, BLUE CROSS BLUE SHIELD BLUE DISTINCTION, AND OPTUM CENTER OF EXCELLENCE. ST. LUKE'S DES PERES HOSPITAL RECOGNIZED AS A BEST HOSPITAL BY U.S. NEWS & WORLD REPORT, 2022-2024. THE HOSPITAL WAS RECOGNIZED AGAIN AS BEST HOSPITALS FOR 2023-2024 RECEIVING "HIGH PERFORMING" RATINGS IN IN THE SPECIALTY AREAS OF KNEE REPLACEMENT AND PNEUMONIA. THE ANNUAL BEST HOSPITALS RANKINGS AND RATINGS, NOW IN THEIR 34TH YEAR, ARE DESIGNED TO ASSIST PATIENTS AND THEIR DOCTORS IN MAKING INFORMED DECISIONS ABOUT WHERE TO RECEIVE QUALITY CARE FOR CHALLENGING HEALTH CONDITIONS AND ELECTIVE PROCEDURES. ST. LUKE'S DES PERES HOSPITAL IS THE RECIPIENT OF THE HEALTHGRADES 2023 AND 2024 OUTSTANDING PATIENT EXPERIENCE AWARD. THIS DISTINCTION PLACE ST. LUKE'S DES PERES HOSPITAL AMONG THE TOP 5 PERCENT OF HOSPITALS NATIONWIDE BASED ON AN ANALYSIS OF PATIENT EXPERIENCE DATA. THE HOSPITAL ALSO WAS THE RECIPIENT OF THE HEALTHGRADES CORONARY INTERVENTION EXCELLENCE AWARD 2024. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, A 501 (C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, IS AUTHORIZED UNDER THE ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL'S ARTICLES OF INCORPORATION TO APPOINT THREE MEMBERS TO THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. THE ADDITIONAL MEMBER IS DEFINED PER THE ARTICLES OF INCORPORATION AS THE CURRENT CHAIRMAN OF THE BOARD OF DIRECTORS OF THE MEMBER, ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS ST. LUKE'S EPISCOPAL-PRESBYTERIAN HOSPITALS, AS THE SOLE MEMBER OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL, HAS RESERVED POWERS INCLUDING THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL AND THE APPROVAL OF PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE 990 THE FORM 990 HAS BEEN REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. ALL QUESTIONS RAISED WERE ADDRESSED IN ADVANCE OF SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY PROVIDING THE POLICY AND QUESTIONNAIRE TO EACH BOARD MEMBER AT THE TIME OF APPOINTMENT AND TO EACH NEW EMPLOYEE AT THE TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER. EACH BOARD MEMBER AND KEY EMPLOYEE IS REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING HE/SHE HAS READ, UNDERSTANDS AND AGREES TO COMPLY WITH THE POLICY AS WELL AS SUBMIT THE COMPLETED QUESTIONNAIRE. ANY/ALL ACTUAL OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE FROM THE FORMS ARE DISCLOSED TO THE FINANCE, AUDIT AND RISK COMMITTEE. THE FINANCE, AUDIT AND RISK COMMITTEE ADDRESSES ANY POTENTIAL CONFLICT OF INTEREST AND TAKES APPROPRIATE ACTION TO RESOLVE. THE ORGANIZATION CONSIDERS THE POSSIBILITY THAT BOARD MEMBERS OR KEY EMPLOYEES MAY INADVERTENTLY FAIL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND PERFORMS DUE DILIGENCE TO ADDRESS AND RESPOND IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION EXECUTIVE, KEY EMPLOYEE AND PHYSICIAN SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE ORGANIZATION ALSO ENGAGED CONSULTANTS FOR INDEPENDENT REVIEWS TO ENSURE COMPENSATION FOR CERTAIN OF THE ABOVE EMPLOYEES IS FAIR AND WITHIN MARKET PARAMETERS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS FOR EXECUTIVES AND KEY EMPLOYEES ARE PRESENTED TO THE COMPENSATION COMMITTEE TO APPROVE OR MODIFY. THE COMPENSATION COMMITTEE HAS REPRESENTATION FROM THE INDEPENDENT MEMBERS OF THE BOARD AND LEGAL COUNSEL. MINUTES ARE MAINTAINED OF THE DISCUSSIONS AND CONCLUSIONS OF THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC ACCESS ANNUAL FINANCIAL STATEMENTS INCLUDING FORM 990 ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. ANY PROPRIETARY INTERNAL POLICIES OR GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ADMINISTRATIVE OFFICE. FORM 990, PART XII, LINE 2C FINANCIAL STATEMENTS AND REPORTING ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S HEALTH CORPORATION. ST. LUKE'S HEALTH CORPORATION'S BOARD OF DIRECTORS HAS A COMMITTEE IN PLACE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. ST LUKE'S HEALTH CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431246752 SUPPORTING ORGANIZATION MO 501 (C)(3) 12B N/A 0 ST LUKE'S EPISCOPAL-PRESBY HOSPITALS - 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 430652680 HEALTH CARE MO 501 (C)(3) LINE 3 SL HLTH CORP 0 ST LUKE'S MEDICAL GROUP 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431349332 HEALTH CARE MO 501 (C)(3) 12A SL HLTH CORP 0 ST LUKE'S DEVELOPMENT CORPORATION 232 S WOODS MILL ROAD CHESTERFIELD MO 63017 431238961 OTHER MISC. MO SL HEALTH CORP C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0